{"id":1780,"date":"2018-01-27T18:15:36","date_gmt":"2018-01-27T18:15:36","guid":{"rendered":"http:\/\/lapedsready.org\/?page_id=1780"},"modified":"2026-01-10T14:23:35","modified_gmt":"2026-01-10T22:23:35","slug":"new-registration","status":"publish","type":"page","link":"https:\/\/lapedsready.org\/index.php\/new-registration\/","title":{"rendered":"New registration"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column]\t<div class='user-registration ur-frontend-form  ur-frontend-form--rounded ur-frontend-form--rounded-edge ' id='user-registration-form-2708'>\n\t\t\t\t\t\t\t\t<form method='post' class='register' data-form-id=\"2708\"\n\t\t\t\tdata-enable-strength-password=\"1\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-captcha-enabled=\"1\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_login\" class=\"ur-field-item field-user_login \" data-ref-id=\"user_login\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_login_field\" data-priority=\"\" ><label for=\"user_login\" class=\"ur-label\">Username <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_login\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"user_login\" id=\"user_login\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Username\" data-username-character=\"1\"\/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_pass\" class=\"ur-field-item field-user_pass \" data-ref-id=\"user_pass\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_pass_field\" data-priority=\"\"><label for=\"user_pass\" class=\"ur-label\">User Password <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_pass\" type=\"password\" class=\"input-text  input-password ur-frontend-field  \" name=\"user_pass\" id=\"user_pass\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"User Password\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_confirm_password\" class=\"ur-field-item field-user_confirm_password \" data-ref-id=\"user_confirm_password\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_confirm_password_field\" data-priority=\"\"><label for=\"user_confirm_password\" class=\"ur-label\">Confirm Password <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_confirm_password\" type=\"password\" class=\"input-text  input-password ur-frontend-field  \" name=\"user_confirm_password\" id=\"user_confirm_password\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Confirm Password\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"first_name\" class=\"ur-field-item field-first_name \" data-ref-id=\"first_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"first_name_field\" data-priority=\"\" ><label for=\"first_name\" class=\"ur-label\">First Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"first_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"first_name\" id=\"first_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"First Name\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"last_name\" class=\"ur-field-item field-last_name \" data-ref-id=\"last_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"last_name_field\" data-priority=\"\" ><label for=\"last_name\" class=\"ur-label\">Last Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"last_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"last_name\" id=\"last_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Last Name\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email \" data-ref-id=\"user_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">Primary Email address <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text   input-email ur-frontend-field  \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Primary Email address\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_confirm_email\" class=\"ur-field-item field-user_confirm_email \" data-ref-id=\"user_confirm_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_confirm_email_field\" data-priority=\"\" ><label for=\"user_confirm_email\" class=\"ur-label\">Confirm Email <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_confirm_email\" type=\"email\" class=\"input-text   input-email ur-frontend-field  \" name=\"user_confirm_email\" id=\"user_confirm_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Confirm Email\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"email_1767228494\" class=\"ur-field-item field-email \" data-ref-id=\"email_1767228494\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"email_1767228494_field\" data-priority=\"\" ><label for=\"email_1767228494\" class=\"ur-label\">Alternate email address (if available)<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"email_1767228494\" type=\"email\" class=\"input-text   input-email ur-frontend-field  \" name=\"email_1767228494\" id=\"email_1767228494\" placeholder=\"\"  value=\"\" data-label=\"Alternate email address (if available)\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"1\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1767228201\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1767228201\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1767228201_field\" data-priority=\"\" ><label for=\"input_box_1767228201\" class=\"ur-label\">Title<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1767228201\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1767228201\" id=\"input_box_1767228201\" placeholder=\"\"  value=\"\" data-label=\"Title\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"check_box_1768083645\" class=\"ur-field-item field-checkbox \" data-ref-id=\"check_box_1768083645\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"check_box_1768083645_field\" data-priority=\"\" ><label class=\"ur-label\" data-label=\"Role\">Role<\/label><ul data-choice-limit=\"1\"><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1768083645[]\" data-label=\"Role\" data-value=\"PdLN\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field  \" name=\"check_box_1768083645[]\" id=\"check_box_1768083645_PdLN\" value=\"PdLN\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1768083645_PdLN\">PdLN<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1768083645[]\" data-label=\"Role\" data-value=\"Nurse Pediatric Champion\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field  \" name=\"check_box_1768083645[]\" id=\"check_box_1768083645_Nurse Pediatric Champion\" value=\"Nurse Pediatric Champion\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1768083645_Nurse Pediatric Champion\">Nurse Pediatric Champion<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1768083645[]\" data-label=\"Role\" data-value=\"Physician champion\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field  \" name=\"check_box_1768083645[]\" id=\"check_box_1768083645_Physician champion\" value=\"Physician champion\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1768083645_Physician champion\">Physician champion<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"check_box_1768083645[]\" data-label=\"Role\" data-value=\"Others\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field  \" name=\"check_box_1768083645[]\" id=\"check_box_1768083645_Others\" value=\"Others\" \/><label class=\"ur-checkbox-label\" for=\"check_box_1768083645_Others\">Others<\/label> <\/li><\/ul><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1767228635\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1767228635\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1767228635_field\" data-priority=\"\" ><label for=\"input_box_1767228635\" class=\"ur-label\">Primary institutional affiliation<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1767228635\" type=\"text\" class=\"input-text   input-text ur-frontend-field  \" name=\"input_box_1767228635\" id=\"input_box_1767228635\" placeholder=\"\"  value=\"\" data-label=\"Primary institutional affiliation\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div id=\"ur-recaptcha-node\"> <div id=\"node_recaptcha_register\" class=\"g-recaptcha\"><\/div><\/div>\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button submit\"  conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tSubmit\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"en-US\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"2708\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"\"\/>\n\t\t\t\t<input type=\"hidden\" id=\"ur_frontend_form_nonce\" name=\"ur_frontend_form_nonce\" value=\"a244b9be85\" \/>\n\t\t\t\t\n\t\t\t<\/form>\n\t\t\t\n\t\t<div style=\"clear:both\"><\/div>\n\t<\/div>\n\n[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; 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